Nichole Suzanne Grimm, NP - Medicare Nurse Practitioner in Ponderay, ID

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Nichole Suzanne Grimm, NP is a medicare enrolled "Nurse Practitioner - Family" in Ponderay, Idaho. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bonner General Hospital Inc and her current practice location is 30544 Highway 200, Ste 101, Ponderay, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 263-6300.

Nichole Suzanne Grimm is licensed to practice in Idaho (license number NP-1113A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669756813.

Contact Information

Nichole Suzanne Grimm, NP
30544 Highway 200, Ste 101,
Ponderay, ID 83852-5005
(208) 263-6300
(208) 263-6355

Map and Direction




Provider's Profile

Full NameNichole Suzanne Grimm
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location30544 Highway 200, Ponderay, Idaho
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nichole Suzanne Grimm graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1669756813
  • Provider Enumeration Date: 10/06/2011
  • Last Update Date: 12/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 7214102557
  • Enrollment ID: I20111214000784

Medical Identifiers

Medical identifiers for Nichole Suzanne Grimm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669756813NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP-1113A (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bonner General HospitalSandpoint, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bonner General Hospital Inc408269046636

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Suzanne Grimm allows following entities to bill medicare on her behalf.
Entity NameBonner General Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154563963
PECOS PAC ID: 4082690466
Enrollment ID: O20040626000014
Entity NameMichael R Dibenedetto Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083809727
PECOS PAC ID: 0840385670
Enrollment ID: O20071009000187
Entity NameSandpoint Healthcare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548741820
PECOS PAC ID: 2860745387
Enrollment ID: O20181031001614

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Suzanne Grimm is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nichole Suzanne Grimm, NP
30544 Highway 200, Ste 102,
Ponderay, ID 83852-5005

Ph: (208) 263-6300		Nichole Suzanne Grimm, NP
30544 Highway 200, Ste 101,
Ponderay, ID 83852-5005

Ph: (208) 263-6300

Reviews and Comments


Nurse Practitioner Nurses in Ponderay, ID

Justin Henderson, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 30544 Id-200, #101, Ponderay, ID 83852
Phone: 208-263-6300    
Kathy Gavin, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 30410 Highway 200, Ponderay, ID 83852
Phone: 208-263-1345    Fax: 208-255-5531
Graham Charles Andrews,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 400 Schweitzer Plaza Dr Ste 1, Ponderay, ID 83852
Phone: 208-263-0649    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.